I recently received an e-mail from a friend, about a friend of hers who has just been diagnosed with throat cancer. After a little thought about the content of her message, I sat down and typed a response. I share our back-and-forth communication with you today because it may help you, a friend, a family member, someone. And it may motivate some of you to contribute your own wisdom on the topic. If it does, by all means -- please share by leaving a comment.

Jacki,

Hope all is well with you. Nick and I have a close friend that has recently been diagnosed with cancer. It's in his throat and neck area. He had his tonsils removed and showed they are the source of the cancer but he will still be undergoing chemo and radiation.

The reason I am reaching out to you is because I wondered if you had some good recipes for keeping your energy levels up during chemo and radiation. He said he needs to eat a lot of protein -- I want to make him some things, or buy the right food for him that are high in protein -- what should I be doing? How can I help? His throat is going to be very sore due to the location of the cancer and eating is going to be an issue. What do you suggest?

In today's world, we worry about carbohydrates. We monitor them, count them, obsess about them, and pare them down to just about nothing in order to lose weight. Yet, quality carbs have a fierce power in the fight against disease. They are packed with vitamins, minerals, antioxidants, and fiber. They absorb slowly and stabilize blood sugar, appetite, even mood. Carbs don't have to be avoided. In fact, they should be embraced -- in their most healthy forms.

While at the Canyon Ranch resort in Tucson this past April, I observed that all meals are balanced with small-to-moderate portion sizes of carbohydrate foods. Canyon Ranch is all about health and healing. If the experts here say carbs can be good for us, I believe them.

The key to carb management is knowing which ones keep cancer and other disease at bay. It's simple, really. Just think whole fruit, vegetables, beans, and modest amounts of whole grains.

Do you have less energy than you did before cancer? Do you sometimes crash in the middle of the afternoon? If you answered Yes to these questions and wonder why your energy is zapped, you may want to consider something completely outside the realm of cancer. Like your diet.

Canyon Ranch nutritionists say lack of energy is not always related to diet. It can also stem from lack of sleep and exercise, depression, anxiety, low-grade infection, medication, reaction to alcohol, and caffeine withdrawal or dependence. But diet surely plays a part, and sometimes a very large part. So in the interest of energetic and healthy living, you might want to give some thought to these energy-building diet tips.

Start the day with a healthy breakfast. When kids don't eat breakfast, they don't think as clearly and don't do homework as well as their well-nourished classmates. Adults are no different. Everyone needs a jump-start in the morning. It's good for metabolism and blood sugar. It's good for the brain.

Almost 19,000 cases of primary liver cancer will be diagnosed in the United States this year according to The American Cancer Society. This type of cancer is twice as common in men as in women. Over 16,000 patients will die of their liver cancer by the end of 2006.

The liver is responsible for many vital roles in our body. It plays an important role in removing toxic waste, stores many nutrients absorbed from the intestines and can also make some of the clotting factors needed to stop bleeding from an injury. The liver is made up of several different types of cells. The tumors that develop in the liver can either be benign or cancerous. Benign tumors of the liver include hemangioma, hepatic adenomas and focal nodular hyperplasia.

The most common form of liver cancer is hepatocellular carcinoma. It begins in the main type of liver cell and three out of four patients diagnosed with primary liver cancer are of this type. A type of liver cancer that is rare but has a better prognosis than other forms of liver cancer is called fibrolamellar liver cancer. Cholangiocarcinomas, another form of liver cancer is usually treated the same as hepatocellular carcinoma.

Many times when the cancer is found in the liver it did not begin there but is metastasis from another primary tumor in the body. These tumors are not considered primary liver cancer and are not treated as such, they will be treated based on where the primary tumor began. If you have metastasis to the liver from lung cancer you will still be treated with drugs that kill lung cancer tumors.

Chemotherapy can upset the digestive system. It can cause nausea and vomiting -- although I never did throw up during my own chemotherapy, thanks to medication for these side effects. Chemotherapy can diminish overall feelings of wellness and can cause sore gums and mouth sores and dry mouths. Clearly, chemotherapy can ruin an appetite.

But patients receiving chemotherapy need to eat. And they need to drink. They need to maintain nutrition and energy and strength during a physically taxing time. And so the challenge facing many entrenched in chemotherapy is how to eat when the act of chewing, swallowing, and digesting food is so completely unappetizing.

Barbara Curtis shares in a chapter of Chicken Soup for the Breast Cancer Survivor's Soul a recipe that made a difference for her sister during her worst days of chemotherapy.

Her recipe -- for chemo popsicles -- includes essential ingredients. Fruit and tofu provide phytochemicals, protein, and liquids for depleted bodies. The cool popsicle soothes sore mouths and settles stomachs. And the ease of putting together this simple snack is nothing short of tempting.

My advice -- save this recipe. And savor it too.

Chemo Popsicles

Fresh-squeezed orange juice, one 8-ounce glass
Frozen mangoes, 1/4 package, or 1 cup frozen berries
1/4 square tofu, medium firmness
One banana
Add passionfruit juice or other fruit juices for flavor

Put all ingredients into a blender. Blend to liquify. Add more juice if mixture is too thick -- it should be as thick as a smoothie. Pour blended mixture into Tupperware or plastic popsicle molds and freeze.

In 2006, 174,470 people will be diagnosed with lung cancer in the United States. About 92,700 men and 81,770 women will develop the disease -- the leading cause of cancer death among both men and women.

An estimated 162,460 men and women will die of lung cancer this year, accounting for 28 percent of all cancer deaths and taking more lives than colon, breast, and prostate cancers combined. While most people diagnosed with lung cancer will die within the first two years of diagnosis -- this has not changed in 10 years -- some people are cured. There are currently about 333,000 long-term survivors.

I am in a slump. I feel tired and slow and unmotivated. And ever since October 14 -- when I ran in the 5K Making Strides Against Breast Cancer event -- I can't seem to find the inspiration to exercise. I am making myself do it -- here and there -- but my usual drive and push and spunk are missing. Typically, I crave exercise and feel lethargic if I don't accomplish some sort of daily physical challenge. But for the past week or so, I have no craving, no desire to walk or run or lift weights, no appetite for my usual fitness routine. I am just plain tired.

Fatigue is a common side effect of cancer treatment -- even years after treatment ends, according to some experts. So perhaps my drop in energy and enthusiasm is due to the cumulative effect of my own treatment for breast cancer that just ended in June. My treatment spanned almost two years. Maybe it's no surprise my body is lagging behind my expectations for physical health.

Experts also say exercise helps combat fatigue. I believe this -- it's why I usually like exercise. It boosts my adrenaline, perks me up, makes me feel alive. If only I could get back into the swing of things, these feelings might come flooding back. But right now, I am not even thinking about how to find my old groove. I am just too tired.

Medical marijuana advocate Ed Rosenthal has been indicted again by a federal grand jury on a number of counts including conspiracy to manufacture and distribute marijuana; money laundering and filing false tax returns related to a marijuana operation.

This is not the first time Rosenthal has been brought up on charges involving medical marijuana activities. Three years ago, he was convicted for cultivating marijuana for a city of Oakland medical marijuana program. An appeals court overturned the conviction this past April, citing jury misconduct, but it upheld federal powers to charge marijuana growers.

The Ask Ed columnist for High Times magazine Rosenthal, 61, known as the Guru of Ganja and author of marijuana cultivation books, is quoted as saying, "What they're trying to show is that they can close down anybody, a legitimate club, a legitimate provider who's sanctioned by the city. They're trying to stop patients from getting their medicine."

Other medical marijuana-related posts include:

• Montel Williams: poster child for pot
  
• Medical marijuana pot pill approved for chemotherapy
• Breast cancer has made me a criminal patient story
• FDA rejects medical marijuana use

Medical use of marijuana on a doctor's recommendation is legal in a number of states but prohibited by federal law.

There is a vaccine that Scripps Research Institute in California researchers are working with that shows positive results in slowing down a key hunger hormone that keeps rats from gaining weight regardless of how much the rats ate -- although they caution that just because it works in rats does not mean it will work the same way in humans or that it will be a safe vaccine for humans.

This is all relatively new science, as the hormone, called Ghrelin, the researchers are testing the vaccine on was just discovered about seven years ago. The researchers do know that the hormone controls appetite in animals and humans and the current research might prove valuable in discovering more about the connections between hunger and weight gain; how the body stores fat and how to influence the hunger hormone.

At this point in time, if you are a rat concerned about controlling your weight, it's good news. Long-term, if it does show the same benefit for humans, the researchers speculate a vaccine might be developed that helps people who struggle with weight gain and loss maintain a steady and healthy weight. You know it is only a matter of time before they discover and develop something along this line, as obesity is a major threat to health for a number of diseases including cancer.

My little boys love candy -- and sometimes I think they eat healthy food only to earn sweets. Their constant badgering about candy has led to a recent ban on artificially-sweetened stuff in our house. If it's not in the house, they can't have it. No arguments. That's it. Fortunately, they also love fruit. So what we lack in candy we now make up for with fruit -- apples and bananas and grapes and peaches and strawberries are favorites. And just today at lunch, three-year-old Danny cleared his plate of strawberries and then proclaimed, "I love strawberries!" And I love that Danny loves strawberries -- especially in light of the news that hit papers today.

It seems that candy lovers are more likely than salt lovers to eat fruit. A study published in the journal Appetite found that people who eat candy, cakes, and other sweet snacks eat more fruit than people who prefer salty snacks like chips and nuts. Maybe that's the reason for my boys' equal affection for both candy and fruit -- and their indifference about salty treats. Apparently, the craving for something sweet is satisfied by both candy and fruit -- which is hopeful for kids whose parents might now steer them in the direction of the more healthy option. And for dieters who might incorporate more fruits into their menus in an effort to cut calories. And for anyone really who is concerned that a diet rich in candy, cookies, and cakes might contribute to illness and disease while fruits and vegetables encourage healthful living.

An apple a day.

The Center for Caregiver Training is developing web based education courses for AIDS/HIV and cancer caregivers that offer practical skills to manage and cope with the responsibilities of being a caregiver. Caregiving 101 has three completed modules of lessons -- Learning About the Disease; Working with Your Medical Team; and Building a Personal Support Team.

To make the most of the time spent visiting with the doctor, one of the lessons in the Working with Your Medical Team module is How to Be Prepared for a Ten Minute Doctor's Visit.

Here are some of the tips included in the lesson:

• Always maintain an up-to-date medication list that includes all prescription and non-prescription items taken.
• Keep a journal of information that the doctor feels is important. This might be weight, temperature, blood pressure, blood sugar levels, and level of pain.
• Between visits, make a note of any unusual symptoms experienced in the journal. This might be night sweats, nausea, lack of appetite, insomnia, fatigue, confusion or anxiety.
• In the journal, jot down questions you might have for the doctor as you think of them.
• Bring the journal with you when you take your loved one to visit the doctor.
  

Other modules in development are Finding Help in the Community, Tools for Life as a Caregiver, Daily Care at Home, Managing Medications, Maintaining Nutrition, Managing Symptoms & Side Effects, Managing Pain and Coping With Mental Changes.

When Montel Williams testified before the Senate Health, Human Services and Senior Citizens Committee in favor of medical marijuana for chronically ill patients, he referred to himself as a poster child for pot. Williams, who hosts a television talk show, was diagnosed with multiple sclerosis almost a decade ago.

MS can cause debilitating pain. For those who might be unaware, let me share with you that Williams does not exaggerate. My sister-in-law suffered from MS all of her adult life, before losing her life to MS at the age of 40, and I will tell you first-hand, there is suffering. When I think of all the life that MS stole from her, and all that she endured, I feel frustration towards anyone who would have denied her the best quality of life available. I am fed up with the lack of compassion of those who would deny anyone suffering from chronic or life-threatening disease the best quality of life available to them. For Williams, it is medical marijuana that offers him the best quality of life possible.

There are as many carcinogens in marijuana as there are in tobacco, but researchers were surprised to find that people who smoke marijuana are not at an increased risk for developing lung cancer. In fact, marijuana smokers might be receiving a weak level of cancer prevention. People who smoke cigarettes are definitely at a greater risk for developing cancer as a result of smoking, and the more they smoke tobacco, the greater the risk for cancer. But pot smokers do not seem to share the same risk.

According to researchers, and the research, even very heavy, long-term marijuana users who had smoked more than 22,000 joints over a lifetime seemed to have no greater risk than infrequent marijuana users or those who never smoked.

Wondering why? Researchers believe it is the THC in marijuana that acts as protection against the damage experienced by any carcinogens a marijuana smoker is exposed to while smoking. Past research has shown that THC has anti-tumor properties. So much for that argument against medical marijuana use.

Valeant Pharmaceuticals International announced that the U.S. Food and Drug Administration has approved Cesamet, a synthetic cannabinoid, THC, for treatment of nausea and vomiting associated with cancer chemotherapy in patients when conventional antiemetic treatments have failed. According to the American Cancer Society, approximately 70 to 80 percent of patients undergoing chemotherapy experience nausea and vomiting.

Current medications to relieve the side-effects of nausea and vomiting only work for less than half of cancer patients during chemotherapy. Cesamet as a prescription drug should be available in less than a month. Synthetic THC acts on the brain like the THC in smoked marijuana -- but eliminates having to inhale the otherwise harmful smoke contained in the illegal drug. Recently, the FDA made a public statement that it did not support the use of medical marijuana.